Individual
KRISTIN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 702-9032
Mailing address
11929 SW 18TH ST, YUKON, OK 73099-7342
(580) 729-1149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1687
OK
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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